Individual provider Active NPI

Peter Le, D.C.

  • Chiropractor
  • Santa Monica, CA
National Provider Identifier
1083993307
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32041 Issued in CA
Practice address
2428 Santa Monica Blvd # 305
Santa Monica, CA 90404-2045
Phone
(310) 451-5851
Fax
(310) 458-0051
NPI assigned
Aug 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC32041 CA Primary

Addresses

Primary practice location

2428 Santa Monica Blvd # 305
Santa Monica, CA 90404-2045

Mailing address

2428 Santa Monica Blvd # 305
Santa Monica, CA 90404-2045
Phone (310) 451-5851

Other practice location 1

2140 W Olympic Blvd
Suite 321
Los Angeles, CA 90006-2207
Phone (213) 389-5865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301002218 CA Practitioner - Chiropractic 9739428152 Reassigns benefits to 1 organization
Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2428 Santa Monica Blvd
Suite 305
Santa Monica, CA 90404-2045
Phone (310) 451-5851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC32041CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Stenosis and Disc Center, Inc. Chiropractor CurrentSince Jan 1, 2020 Accepting new patients
Nazareth Clinic Corp Chiropractor Past Accepting new patients

Locations

2428 Santa Monica Blvd
#305
Santa Monica, CA 90404
Phone (310) 451-5851

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1083993307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD # 305",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042045",
            "telephone_number": "310-451-5851",
            "fax_number": "310-458-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD # 305",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042045",
            "telephone_number": "310-451-5851",
            "fax_number": "310-458-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 W Olympic Blvd",
            "address_2": "Suite 321",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900062207",
            "country_code": "US",
            "telephone_number": "213-389-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-04",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.